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Organization
SPEECH THERAPY OF MIAMI LLC
Active
Organization
SPEECH THERAPY OF MIAMI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGINA RIVERA (OWNER)
(305) 873-9589
Entity
Organization
Contact information
Practice address
1301 SW 138TH CT, MIAMI, FL 33184-2761
(305) 873-9589
Mailing address
1301 SW 138TH CT, MIAMI, FL 33184-2761
(305) 873-9589
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000000
00000000000
FL
Enumeration date
02/28/2022
Last updated
02/28/2022
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